Tuesday, March 14, 2017

Ethical Guidelines for Orthobiologics

Neokine (www.neokine.com) is siding with science-based medicine. An Ethical approach is missing in many practices, claiming the correct use of biologics. We like and support the principles laid out by Dr Centeno of Regenexx stated below.
Background: As providers who use orthobiologics to treat our patients, we have observed unethical behavior and advertising that isn’t consistent with best physician practices. Hence, we wish to provide a set of ethical guidelines for orthobiologic use to which we can all strive to adhere. For the purpose of this document, orthobiologics are defined as substances that can facilitate the healing of bone, tendon, ligament, muscle, cartilage, or nerve. These include stem cells and other cells such as macrophages, leukocytes, pericytes, RBCs, etc, cytokines, platelet rich or poor plasma, serum, extracellular matrix, fat grafts, and other tissues.
  1. If outcomes and risks are discussed, you should have at least case series outcome data on the specific procedure you are performing. If that’s not available, then you should discuss outcomes solely based on your experience.
  2. If research is posted to your web-site, it needs to be research that represents the procedure you are using. For example, if the provider is using stromal vascular fraction from adipose tissue, posting research that used culture expanded mesenchymal stem cells is inappropriate.
  3. You should practice within your specialty area. For example, providers that are commonly trained to see neuromusculoskeletal injury such as PMR, Orthopedics, Interventional Pain, Family Practice with a Sports Fellowship, or other disciplines where significant MSK training has been pursued should only treat patients with neuromusculoskeletal injuries. As an example, an orthopedic surgeon or PMR specialist treating patients with multiple sclerosis with an IV infusion of stem cells is inappropriate.
  4. Claims made about the cellular or cytokine content of a product or procedure should be substantiated using reasonable science. For example, a physician should not rely on the testing from a manufacturer that purports to have an amniotic or cord “stem cell” product unless the data supplied can substantiate the claim. If the claim can’t be substantiated, then the act of that provider advertising to the public that he or she is performing a stem cell procedure constitutes consumer fraud.
  5. The use of orthobiologics is a physician level procedure. The goal for regenerative medicine is the improvement of existing surgical or interventional subspecialties or the creation of new ones that require physician level thinking, knowledge, and experience. Hence it is not appropriate for a mid-level provider to be practicing regenerative medicine of the neuromusculoskeletal system using orthobiologics.
  6. Your use of orthobiologics must comply with all applicable state and federal laws, regulations, and guidance documents.
  7. Whenever possible, the use of investigational procedures, substances, or devices should be the subject of research or data collection and that information should be made available in a public forum.

Written by

Chris Centeno, M.D.
 Chris Centeno, M.D.
CEO at Regenexx

To take advantage of our special offer please contact Neokine at www.neokine.com o855-9-NEOKINE (855-963-6546)

For more information about NeoKine and it's incredible pain management product EnPLAF, please visit our website www.neokine.com

Wednesday, March 1, 2017

Do you or a loved one suffer from some form of Arthritis?

Half of mature adults end up with the painful “wear and tear” condition called Osteoarthritis, and millions of more Americans suffer from Rheumatoid Arthritis, Fibromyalgia, Gout, and other less-common arthritic diseases.

Unfortunately, arthritis has no cure.

So doctors write millions of prescriptions for medications that treat the symptoms of the disease. Millions of more folks with arthritis buy pain-relieving drugs available without a prescription at their nearby pharmacy.

Yet, side effects from these drugs can actually be worse than the condition itself.

The myriad dangerous side effects from various over-the-counter and prescribed drugs used for arthritis include stomach ulcers, GI bleeding, cancer, diabetes, heart attacks, suicidal thoughts, and many others.

Most mainstream doctors don’t even know about safe, scientifically proven natural remedies for arthritis — which do exist. And because they aren’t highly publicized, many of these therapies are virtually unknown to the general public.

Neokine has developed and made clinically available safe and natural ways to beat arthritis pain and inflammation, combat joint damage, and help you live a more active, energetic life.

Because arthritis is so common, particularly in our aging population, Neokine wants to make this information available to as many sufferers as possible.

To take advantage of our special offer please contact Neokine at www.neokine.com o855-9-NEOKINE (855-963-6546)

For more information about NeoKine and it's incredible pain management product EnPLAF, please visit our website www.neokine.com